Applied Evidence

A 4-pronged approach to foster healthy aging in older adults

Author:

Lynn M. Wilson, DO

Angela L. Colistra, PhD, LPC, CAADC, CCS

Elisa Giusto, DO

Susan E. Hansen, MA

Monitoring patients' health, mobility, mentation, and ability to maintain social connections can help you promote healthy aging for your older...

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Applied Evidence

Step-by-step evaluation and treatment of shoulder dislocation

Author:

Nata Parnes, MD

Jeff Perrine, FNP-C

Kenneth J. Fish, DO, FAAFP

Tailor management decisions by taking into account the patient’s age, the direction of instability, functional demands, risk of recurrence, and...

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Applied Evidence

Vitamin supplementation in healthy patients: What does the evidence support?

Author:

Joel Herness, MD

Jennifer Svarverud, DO

Debra Koenigsberger, MD

Kattie Hoy, MD

This review, with handy tables, summarizes which vitamins offer proven benefits—and which don’t.

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Case Reports

75-year-old woman • right-side rib pain • radiating shoulder pain • history of hypertension & hypercholesterolemia • Dx?

Author:

Richard M. Albertson, MD

Alyssa K. Anderson, MD

► Right-side rib pain
► Radiating shoulder pain
► History of hypertension & hypercholesterolemia

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Clinical Inquiries

Is exercise therapy effective treatment for low back pain?

Author:

Christine Broszko, MD, FAAFP

Krystyna Golden, MD

Cody R. Holmes, MD

Stephanie Fulleborn, MD

Carolyn Biglow, MLIS, CAS

EVIDENCE-BASED ANSWER: Yes, it is somewhat effective. Exercise therapy—including general exercise, yoga, Pilates, and motor control exercise—has...

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Commentary

Let’s talk about healthy aging (but where to begin?)

Author:

John Hickner, MD, MSc

It may be effective to use the “chat technique” and ask open-ended questions, such as: How are things going for you?

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Photo Rounds

Infant with edematous, erythematous toe

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Photo Rounds

Itchy vesicles

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Photo Rounds

Painful lumps in the axilla

Author:

Anisha Guda, MD

Richard P. Usatine, MD

The location of these lesions and the odorous fluid that drained from them pointed to the diagnosis. The acne on the patient’s back was another...

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Photo Rounds

Painful facial abscess

Author:

Jeremiah Moon, MD

Susan A. Piggott, MD, MPH

Morteza Khodaee, MD, MPH

Any case of a chronic nonhealing lesion of the face should include this condition in the differential.

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Photo Rounds

Yellow pruritic eruption

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Photo Rounds

Rash in an immunocompromised patient

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Practice Alert

Influenza vaccine update, 2021-22

Author:

Doug Campos-Outcalt, MD, MPA

Give the vaccine by the end of October. The CDC states that COVID-19 vaccines can be co-administered with influenza vaccines, but reactogenicity...

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PURLs

Monotherapy for nonvalvular A-fib with stable CAD?

Author:

Thomas P. Garigan, MD, MA

John S. Earwood, MD

Michal Poplawski, MD

A meta-analysis found oral anticoagulant (OAC) monotherapy provided efficacy comparable to OAC plus single antiplatelet therapy—with lower...

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Practice Alert Podcast

USPSTF updates diabetes recs, lowers screening age

Author:

Doug Campos-Outcalt, MD, MPA

The US Preventive Services Task Force recently updated its recommendations on screening for prediabetes and type 2 diabetes. In this month’s audio...

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